Kimberly Dawn Peery, ANP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

209006257 Issued in IL

Practice address

1005 Health Center Dr Ste 100
Mattoon, IL 61938-4637

Phone

(217) 258-4006

Fax

(217) 258-4120

NPI assigned

Nov 3, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kpeery526827@direct-ehr-ssmhc.com
• FHIR API: https://fhir-usa.unify.chbase.com/org/sarahbu-e05e23b8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sarah Bush Lincoln Health Center

  • General Acute Care Hospital
  • Mattoon, IL
  • NPI 1669564662
  Medicare reassignment NPD
• Sarah Bush Lincoln Health Center

  • Critical Access Hospital
  • Vandalia, IL
  • NPI 1912988734
  Medicare reassignment NPD
• Highland Pediatrics & Adolescent Medicine

  • Pediatrics Physician
  • Highland, IL
  • NPI 1942321773
  NPD (past)
• Sarah Bush Lincoln Health Center

  • Rural Health Clinic/Center
  • Vandalia, IL
  • NPI 1568500510
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1962581512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 372",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619380372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 HEALTH CENTER DR STE 100",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619384637",
            "telephone_number": "217-258-4006",
            "fax_number": "217-258-4120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 W Taylor St",
            "address_purpose": "LOCATION",
            "city": "Vandalia",
            "state": "IL",
            "postal_code": "624711227",
            "country_code": "US",
            "telephone_number": "618-283-1231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "660 W Taylor St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Vandalia",
            "state": "IL",
            "postal_code": "62471",
            "country_code": "US",
            "telephone_number": "618-283-1231",
            "fax_number": "217-283-1617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEERY",
        "first_name": "KIMBERLY",
        "middle_name": "DAWN",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IL",
            "license": "209006257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zoie Mae Parker
• Jaymon Bhasker Patel, M.D.
• Preeti Patel, MD
• Tyrese Patterson, RSA
• Tanisha Patton
• Adrian Pelayo, RSA
• Dwight Pentzien, D.O.
• Kimberly Penza, SLPA
• Dominic Perrino, D.O.
• Petersen Health Care II, Inc

• Pediatric Nurse Practitioner in Mattoon, IL
• Providers in Mattoon, IL by specialty
• Pediatric Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.